Journal of pain and symptom management
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J Pain Symptom Manage · Jan 2022
Palliative Care Attitudes and Experiences among Resident Physicians at Historically Black Colleges and Universities.
Seriously ill Black patients receive lower quality palliative care than White patients. Equitable access requires palliative care skills training for all physicians. Historically Black Colleges and Universities (HBCUs) play a key role in educating Black physicians and have less access to palliative care resources. ⋯ In the first survey exploring palliative care education at HBCUs, residents viewed palliative care as important but described the quality of their palliative care education as poor. This study highlights opportunities for improving palliative care education at HBCUs as a step toward addressing disparities in serious illness care.
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J Pain Symptom Manage · Jan 2022
Physicians' opinion and practice with the continuous use of sedatives in the last days of life.
There are few international studies about the continuous use of sedatives (CUS) in the last days of life. ⋯ Many respondents in our study considered CUS acceptable for the relief of physical and psycho-existential suffering in the last days of life. The acceptability was lower regarding CUS for psycho-existential suffering and regarding CUS for patients with a longer life expectancy.
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J Pain Symptom Manage · Jan 2022
Parent and Adolescent Perspectives on the Impact of COVID on the Care of Seriously Ill Children.
Few studies have explored the impact of the Coronavirus Pandemic (COVID-19) on the care of seriously ill children which may be especially affected due to the child's vulnerability, complexity of care, and high reliance on hospital-based care. ⋯ Families caring for seriously ill children during COVID-19 face increased challenges. Health systems should consider long-term telehealth/in-person hybrid care models that have potential to improve access to and satisfaction with care.
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J Pain Symptom Manage · Jan 2022
Pediatric palliative care education model in low resource settings: A mixed-methods evaluation.
Globally, approximately 21.6 million children need pediatric palliative care (PPC). The greatest burden lies in low- and middle-income countries, where the demand for PPC exceeds available resources. ⋯ The results of this study suggest that a short, interactive and interdisciplinary workshop, originally designed for the United States setting but adapted to a low resource context, is an effective way to improve providers' self-efficacy, comfort and confidence in the provision of PPC in resource-limited settings.